Wungwattana, Minkkwan
Wungwattana, Minkkwan is an individual health care provider with primary practice located at 1201 W La Veta Ave Psf Hospitalist Division, Orange CA 92868-4203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wungwattana, Minkkwan can be contacted via phone (714) 509-8644.Contact Information
Primary practice address
1201 W La Veta Ave Psf Hospitalist Division
Orange CA 92868-4203
Phone: (714) 509-8644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A128717 | California |
Profile Details
| NPI number | 1558628552 |
|---|---|
| LBN Legal business name | Wungwattana, Minkkwan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2012 |
| Last updated | May 9th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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